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Are physicians overdiagnosing melanoma?

In an editorial in the February 1 issue of American Family Physician, Dr. Jenny Doust and colleagues wrote about the problem of widening disease clarities, a common phenomenon in which the definition of a disease is “broadened over time to include milder and earlier contingencies, ” leading to harm “by exposing more patients to the […]

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My favorite public health and health care books of 2020

Christmas Eve may be a little late in the vacation season to be recommending diaries, but then again, e-books can be a great last-minute gift for procrastinators. One constant that has helped hinder me sane during this stormy pandemic time has been always having a physical or virtual shelf of plotting notebooks to read next. […]

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Is physical therapy helpful for acute back pain with sciatica?

Although a referral to physical rehabilitation is a standard part of my treatment plan for cases with subacute or chronic low-pitched back hurting, there is little data on the effectiveness of physical care for acute back grief. A 2018 Family Physicians Inquiries Network( FPIN) Clinical Inquiry be made available in American Family Physician found that […]

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The Importance of Holistic Self-Care

Written by Eric Stephenson, Chief Wellness Officer, Elements Therapeutic Massage, LLC How well are you taking care of yourself? Perhaps this is a question you regularly ask yourself or perhaps it’s one that has gone by the wayside. Life can be busy. And with everything you are juggling – family, friends, office — it can […]

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Adverse childhood experiences and their sequelae in primary care

In a recent editorial on the relationship between stress and chronic disease, Dr. Jennifer Middleton mentioned that adverse childhood suffers( Unities ), “such as physical or sex offense, evidenced domestic violence, loss or captivity of a parent, and poverty issues, ” are associated with last-minute development of diabetes, coronary thrombosis, asthma, and cancer. A 2019 […]

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Maryland’s Primary Care Program: incremental progress or breakthrough?

Much has changed in the past six years since our last-place Health Policy Journal Club at Georgetown. Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/ Georgetown-Washington Hospital Center Family Medicine Residency Program. I stepped down as conductor of the Robert L. Phillips, Jr. Health Policy Fellowship 3 years […]

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A graduation address for the COVID-19 era

If you watched your child graduate this year, as I did my older son’s junior high school ceremony at the end of May, you most probably did so online. The same for my participation in the virtual graduation liturgy for Georgetown University School of Medicine’s Class of 2020, which included 17 family physicians who start […]

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Debating the pros and cons of Medicare for All

Although neither of the major party campaigners for U.S. President in November support a “Medicare for All” style single-payer health insurance program, this issue surfaced during the Democratic primary debates as one option for extending coverage to the uninsured and abbreviating health care administrative expenditures. Our recent Georgetown Health Policy Journal Club discussed two editorials […]

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Cancer survivorship: what is the family physician’s role?

Family physicians’ expertise in cancer mostly involves screening and diagnosis, while management administered by medical and/ or surgical oncologists. Nonetheless, as the long-term survival of patients with cancer improves, the important care role of primary health care clinicians in survivors of childhood and adult cancers has will become more and more recognized. The National Cancer […]